Example of a ventilator settings procedure (id = "ventilator-setting")

<?xml version="1.0" encoding="UTF-8"?>

<Procedure xmlns="http://hl7.org/fhir">
  <id value="ventilator-setting"/> 
  <contained> 
    <Device> 
      <id value="vent-device-1"/> 
      <manufacturer value="Medtronic, Inc"/> 
      <lotNumber value="1234-9876"/> 
      <type> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="40617009"/> 
        </coding> 
        <text value="Ventilator, device"/> 
      </type> 
    </Device> 
  </contained> 
  <contained> 
    <Observation> 
      <id value="tidal-volume-obs"/> 
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="76222-9"/> 
        </coding> 
        <text value="Tidal volume Ventilator"/> 
      </code> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <valueQuantity> 
        <value value="500"/> 
        <unit value="mL"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL"/> 
      </valueQuantity> 
    </Observation> 
  </contained> 
  <contained> 
    <Observation> 
      <id value="fio2-obs"/> 
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="3150-0"/> 
        </coding> 
        <text value="Inhaled oxygen concentration"/> 
      </code> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <valueQuantity> 
        <value value="40"/> 
        <unit value="%"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="%"/> 
      </valueQuantity> 
    </Observation> 
  </contained> 
  <contained> 
    <Observation> 
      <id value="peep-obs"/> 
      <status value="final"/> 
      <code> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="76248-4"/> 
        </coding> 
        <text value="PEEP Ventilator"/> 
      </code> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <valueQuantity> 
        <value value="5"/> 
        <unit value="cm[H2O]"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="cm[H2O]"/> 
      </valueQuantity> 
    </Observation> 
  </contained> 
  <status value="completed"/> 
  <code> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="1258985005"/> 
      <display value="Invasive mechanical ventilation (regime/therapy)"/> 
    </coding> 
    <text value="Mechanical Ventilation"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
  </subject> 
  <occurrenceDateTime value="2015-04-05"/> 
  <performer> 
    <actor> 
      <reference value="Practitioner/example"/> 
      <display value="Dr Cecil Surgeon"/> 
    </actor> 
  </performer> 
  <reason> 
    <concept> 
      <text value="Acute Respiratory Distress Syndrome (ARDS)"/> 
    </concept> 
  </reason> 
  <outcome> 
    <concept> 
      <text value="Respiratory rate 24 bpm"/> 
    </concept> 
  </outcome> 
  <outcome> 
    <reference> 
      <reference value="#tidal-volume-obs"/> 
      <display value="Tidal volume 500 mL"/> 
    </reference> 
  </outcome> 
  <outcome> 
    <reference> 
      <reference value="#fio2-obs"/> 
      <display value="FiO2 40%"/> 
    </reference> 
  </outcome> 
  <outcome> 
    <reference> 
      <reference value="#peep-obs"/> 
      <display value="PEEP 5 cmH2O"/> 
    </reference> 
  </outcome> 
  <followUp> 
    <concept> 
      <text value="Daily chest x-rays and ongoing ventilation monitoring"/> 
    </concept> 
  </followUp> 
  <note> 
    <text value="ARDS due to sepsis"/> 
  </note> 
  <focalDevice> 
    <action> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="232679009"/> 
        <display value="Nasotracheal intubation (procedure)"/> 
      </coding> 
    </action> 
    <manipulated> 
      <reference value="#vent-device-1"/> 
    </manipulated> 
  </focalDevice> 
</Procedure>